SELF-AUDIT
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SELF-AUDIT ********** NAME : Example Report ID# : 000-00-0000 AGE : 34 SEX: Male CONFIDENTIAL REPORT ETHNICITY/RACE: Caucasian EDUCATION : 12 MARITAL STATUS: Married DATE OF BIRTH : 01/01/1973 DATE SCORED : 07/11/2010 Self-Audit results are confidential and are working hypotheses. No diagnosis or decision should be based solely upon these results. These test results are to be used in conjunction with experienced staff judgment and review of available records. MEASURES %ile SA PROFILE -------- ---- +---------------+-----------+-------+---+ - LOW RISK - MEDIUM -PROBLEM-MAX- - - - - - TRUTHFULNESS 39 ****************-...........-.......-...- RESISTANCE 13 ******..........-...........-.......-...- VIOLENCE 75 *******************************.....-...- ALCOHOL 28 ************....-...........-.......-...- - - - - - DRUGS 18 ********........-...........-.......-...- ...
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SELFAUDIT ********** NAME: Example Report ID#: 000000000 AGE: 34SEX: MaleCONFIDENTIAL REPORT ETHNICITY/RACE:Caucasian EDUCATION: 12 MARITALSTATUS: Married DATEOF BIRTH : 01/01/1973 DATESCORED :07/11/2010 SelfAuditresults areconfidential andare workinghypotheses. No diagnosisor decision should be based solely upon these results.These testresults areto beused inconjunction withexperienced staff judgmentand review of available records. MEASURES%ile SAPROFILE +++++ LOW RISK MEDIUMPROBLEMMAX TRUTHFULNESS39 ****************..................... RESISTANCE13 ******............................... VIOLENCE75 *******************************........ ALCOHOL28 ************......................... DRUGS18 ********............................. +++++ 040 7090 100 PERCENTILE SCORES SUMMARY TheseSelfAudit (SA)results are accurate and valid. He is not resistantor noncompliant and should becooperative. This client is describedas peaceful andeasy going. Few, if any, indicators of alcoholabuse are evident. Few, if any, indicators of illicit druguse areevident. ASelfAudit scale score at or above the 90th percentile isindicative ofserious problems. Review the following scalescarefully: VIOLENCE, SELFESTEEMscales. This individualmanifests many serious problems andneeds help. A referral to alicensed mental health practitioner fora psychological or psychiatric evaluation, diagnosis andtreatment planappears warranted. Promptreferral or intervention is needed. TheDistress, Morale, SelfEsteem andStress Coping AbilitiesScales areprinted on the next page.
NAME:Example Report2 SAREPORT MEASURES%ile SAPROFILE +++++ LOW RISK MEDIUMPROBLEMMAX DISTRESS68 ****************************.......... MORALE58 ************************.............. SELFESTEEM96 ***************************************. STRESSCOPING 87***********************************.... +++++ 040 7090 100 PERCENTILE SCORES SUMMARY Thisindividual is concerned about physical ormental pain. Although generallyselfconfident, some doubts exist. Veryserious selfesteem problemsare evident (suicidal?). This person isnot coping effectivelywith stress or pressure. ** SUMMARY PARAGRAPHS EXPLAINING CLIENT'S ATTAINED SCALE SCORES * * TRUTHFULNESSSCALE: LOW RISK RANGERISK PERCENTILE:39 Thisis an accurate SelfAudit profile.All scale score are accurate. Thisindividual respondedto testitems ina nondefensive,coop erativeand truthful manner. This client was truthful while completing thetest and has adequate reading skills. The Truthfulness Scale iden tifiesselfprotective, recalcitrant and guarded people who attempt to minimizetheir problems or fake good. This is a low risk (zero to 39th percentile)range score. RESISTANCESCALE: LOW RISK RANGERISK PERCENTILE:13 Withregards to theResistance Scale this is a low risk score.This individualis usuallynonresistant or cooperative.A positive orien tationto accepting help, assistanceand guidance is indicated.Low riskindividuals are described as friendly, accepting and cooperative. Under"normal" conditionsthis clientcan beexpected tobe coop erative. VIOLENCESCALE: PROBLEM RISK RANGERISK PERCENTILE:75 Violenttendencies are evident.This person's score onthe Violence Scaleis inthe Problem Risk (70 to 89th percentile) range.Problem riskscorers commitvarying degrees of verbal, emotional and physical abuse.They need to learnalternatives to anger and violence.Anger managementclasses or group counselingcould help.Also, other Self Auditscale scorescould exacerbateviolence when theyare elevated (abovethe 70th percentile). ALCOHOLSCALE: LOW RISK RANGERISK PERCENTILE:28 Few,if any, indicatorsof alcohol(beer, wine or liquor) abuseare evident.Alcohol use, if present, may be historical or represent min imalinvolvement. Onthe Alcohol Scale thisclient scored in the Low Risk(zero to 39th percentile) range.A person who does not presently
NAME:Example Report3 SAREPORT drinkmay score higher than zero due to prior history, but still would scorein the Low Risk range. DRUGSSCALE: LOW RISK RANGERISK PERCENTILE:18 Few,if anysignificant indicatorsof illicit druguse or abuse are evident.Drug involvement may be historical, experimental or minimal. Aperson whodoes not usedrugs may score above zerodue to his/her drughistory, but would still score in the low risk range.Drug abuse riskis low. With regard to the Drugs Scale, this is a low risk score. DISTRESSSCALE: MEDIUM RISK RANGERISK PERCENTILE:68 Thisindividual's Distress Scale score is in the Medium Risk (4069th percentile)range. Mediumrisk scorersreflect growingunhappiness, anxietyand discouragement. Thisclient's familyand interpersonal relationshipsare likely contributing totheir experienced distress. Iftalking to this person abouttheir experencialdistress does not help,then consideration might be given to group counseling. MORALESCALE: MEDIUM RISK RANGERISK PERCENTILE:58 Thisclient's Morale Scale score is in theMedium Risk (4069th per centile)range. Although generallystable, situationspecific mood swingscan be anticipated.During these mood swings, this client will bemore pessimisticand manifesta negativistic attitude.Interper sonalrelationships will also suffer. SELFESTEEMSCALE: MAXIMUM RISK RANGERISK PERCENTILE:96 Thereare unusual qualities to this client's rejection and disapproval ofself which may involveserious emotional problems.This score may indicateconfusion, guilt, suicidal ideation, or an attempt to portray selfnegatively (fake bad).Referral toa certified/licensed mental healthprofessional for a diagnosis of treatment plan is warranted. STRESSCOPING SCALE: PROBLEM RISK RANGERISK PERCENTILE:87 Thisis a Problem Risk (70 to 89th percentile) Stress Coping Abilities Scalescore. Thisclient is notcoping effectively with stress, ten sion,anxiety or pressure.Stress, or howthis person is coping with stress,is problematicand thiscontributes to emotional and adjust mentissues. This client would benefit from completing astress managementprogram which would likely involve lifestyle adjustments. ** * * * SIGNIFICANTITEMS are either directadmissions or unusual responses thatmay warrant clarification for better client understanding. ALCOHOLDRUGS 10.Sometimes drinks too muchNo significant items were reported forthis scale.
NAME:Example Report4 SAREPORT SIGNIFICANTITEMS (continued): DISTRESSVIOLENCE 20.States nobody to talk to6. At times can't control self 69.Often feels nothing matters13. Usually tries to get even 29.When angereddangerous 38.Often angry or upset 91.Most people are irritating RESISTANCEMORALE Nosignificant items were reported51. Lacks desire to overcome forthis scale.69. Often feels nothing matters SECTION3 reflects the client's opinions with all their biases.These answersallow comparison ofthe client'ssubjective opinionswith theirmore objective and empirically based scale scores. 147.Serious relationship problems154. Accept help: some willingness 148.Not a "recovering" person155. Moderate morale problem 149.Not a 12step person156. Moderate selfesteem problem 150.Drinking: no problem157. Not suicidal or homicidal 151.No alcohol treatment programs158. Moderate stress problems 152.Drugs: no problem159. Not in a treatment program 153.No drug treatment programs160. Family and friends supportive RESPONSECONSISTENCY/INCONSISTENCY TheTruthfulness Scale scoreshows whetheror notSelfAudit scale scoresare accurateor inaccurate. EachTruthCorrected scalescore thendemonstrates the severity of the attitudes/behaviorsbeing measured.Yet, even with these important measures its sometimes informativeto review pattern ofresponding within a scale or measure. However,it is important tounderstand thatreported inconsistencies doesnot weaken or change a scales reported risk level score. Severalscale consistency reviews follow. ALCOHOL AlcoholScale items refer to current drinking problems. Response consistencywould involve three admissions or denials. This clientdid notadmit to items #75, 81 or 150. Two AlcoholScale items (#54 and 148)relate to 'recovering' alcoholism. Agreement betweenthese answersis expected. This client, denies being a"recovering" person. Asimilar theme , i.e., alcohol treatment, is present in items #87and 151.The respondent denies having had alcoholrelated treatment. DRUGS DrugsScale items (#49, 90 and 152) referto current drug problems. Responseconsistency would involve three admissionsor denials. This clientadmitted to none of these items. Two items (#57 and148) apply to"recovering" drug abuser. Agreement between these answers is expected.This client denies being a"recovering" person. Items #77
NAME:Example Report5 SAREPORT and153 both pertain to drug treatment. This individualdenies having haddrugrelated treatment. DISTRESSSCALE DistressScale Items #27and #159 refer to treatment and similar answersare expected. This client denies having been in treatment.The DistressScale incorporates a suicide/homicide (#157) item andseveral relateditems. (e.g., 69, 76, 88, 97, 107 and 112).Of these similar items,this individualanswered the following items ina problematic (deviant)manner: #69, 88, 112. Theseanswers magnify this client's growingdesperation. RESISTANCE Severalitems in the Resistance Scale reflectopposition (resistance) tohelp. These items include #25, 32, 41, 53, 59, 67, 74, and89. The client'sresponses to these items areset forth in the "SelfAudit Responses"summary at the endof the report.A more generalized "resistantattitude" or "oppositionaloutlook" is reflected in the client'sanswers to items #44, 79, 104, 106,and 124(1 or 2). This individualanswered items 53, 124 ina negativistic or noncompliant manner. VIOLENCE Withregard to the Violence Scalethe client's answer to item 157 (suicidal/ homicidal) is important when assessinga persons dangerousnessto self and/or others. When aperson responds to item 157by selecting 1 (suicidal), 2 (homicidal) or 3(suicidal/homicidal) it'sinteresting to note how he answered similar orcompatible items, i.e.,#29, 50, 70,and 105. This client answered items 29 in a negativisticor deviant direction. SELFAUDITRESPONSES 150 FFTTFTFTTTTTTFFFTTTT FTFTFFFFTF FFTTFFFTFF FTTFTTFFFF 51100FTT0TFFTTF TTTTFTFTTF TFTTFFFFFT FFFTTTFTFF TTF1231232 1011502313212212 3123231224 2342343343 2412332333 2213212444 1511604442224243 SelfAudit Copyright (c) 2001. ALL RIGHTS RESERVED.
